How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $10.23 | Professional | None | $9.77 | $9.77 | $10.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $29.51 Median $47.86 Typical High $85.11 | Facility | None | $29.51 | $47.86 | $85.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.59 Median $19.05 Typical High $30.20 | Professional | None | $12.59 | $19.05 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $32.36 Typical High $77.62 | Facility | None | $23.99 | $32.36 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $8.32 Typical High $15.85 | Professional | None | $6.46 | $8.32 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $9.55 Median $12.59 Typical High $19.95 | Facility | None | $9.55 | $12.59 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $28.18 | Professional | None | $14.13 | $21.88 | $28.18 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $15.14 | Facility | None | $11.48 | $11.48 | $15.14 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.51 Typical High $16.60 | Professional | None | $5.37 | $8.51 | $16.60 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $4.90 Typical High $5.13 | Professional | 52 · Reduced service | $4.90 | $4.90 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.04 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.04 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 7th of 51
$19.05
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.